Patient Account Rep I Corporate

Covenant Health • Knoxville, TN

5d

About The Position

The Patient Account Representative works patient accounts according to department policies and procedures, under the direction of the department Manager and Supervisor. The assigned Business Office functional area determines the specific work and volume. Work must be completed accurately and promptly. The role reviews patient accounts for resolution, checks with insurance companies on billed claims that have not processed, and determines what is needed to finalize claims. The position performs functions related to collecting patient accounts and supports appropriate reimbursement while complying with applicable payer requirements and regulations.

Requirements

• No specific minimum education is required; a combination of formal education and/or prior work experience must demonstrate the knowledge, skills, and abilities needed for the job. This is typically equivalent to a high school diploma or GED.
• Computer experience is required.
• Must be familiar with insurance plans and requirements and collection practices, such as the Fair Debt Credit and Collection Act.

Nice To Haves

• A high school diploma or GED may be preferred.
• One to two years of healthcare experience is preferred.
• Knowledge of medical terminology, claims submission, and customer service is preferred.

Responsibilities

• Review patient accounts for resolution, check the status of unprocessed billed claims with insurance companies, and determine what is needed to finalize claims.
• Assist the Supervisor in recognizing and identifying issues related to account work.
• Handle varying tasks and interpret procedures related to the revenue process.
• Apply knowledge of state and federal regulations, HIPAA, HCFA, TennCare, and other third-party payer requirements to support departmental compliance.
• Recognize when supervision or guidance is needed and seek appropriate resources.
• Follow departmental policies and procedures, objectives, process-improvement initiatives, safety requirements, environmental standards, and infection-control standards.
• Understand insurance payer requirements and patient information from facilities, and follow up appropriately to help secure reimbursement.
• Perform functions related to collecting patient accounts.
• Communicate professionally and effectively with patients and the public, coworkers, physicians, facilities, agencies, offices, and other facility personnel.
• Collaborate with Supervisors, coworkers, the Department Manager, and other facility personnel to perform the work of the position.
• Attend required meetings and participate on committees as directed.
• Promote positive public relations for the department and facilities.
• Assist Vice Presidents, Directors, Managers, and Supervisors with activities and projects as needed.
• Participate in intradepartmental quality-improvement activities when requested.
• Assist new employees and attend required in-service training.
• Report to work promptly, complete work on time, and follow through on assigned tasks.
• Take initiative to increase skills and attend training programs as available.
• Use available equipment, supplies, and other resources appropriately and help reduce waste.
• Complete required annual education assignments, work toward goals and objectives, and participate in quality-improvement initiatives as requested.
• Perform other duties as assigned.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: No Education Listed